Participant Info

Membership Number
2177
Salutation
Ms
First Name
Alice Ruth
Middle/Maiden/Previous
Last Name
Domann
Address 1
310 West 13th Street
Address 2
City
Ellsworth
Zip Code
67439
Phone
785-472-5064
Work Code #
Date of Birth
Date of Death
Deceased At Join?
Comments
Name/Location of Company Worked
Dates of Work
Type of Work
Rosie Name if Rb or Rv
Is/Was Rosie a member of ARRA?
Contact Name (Deceased Rosie Contact)
Contact Email Address
Contact Phone Number